3110 Exam 2 Nutrition & ATI

A nurse is teaching a group of clients who have diabetes about meal planning. Which of the following client statements indicates understanding? "I will not eat fruit canned in syrup." "I will avoid having snacks." "I should not eat anything containing sugar." "I will not eat more than 2,800 mg of sodium a day."

"I will not eat fruit canned in syrup"

A nurse is reinforcing dietary teaching to a client who has type 2 diabetes mellitus. Which of the following instructions should the nurse include? Select all that apply. "You can add table sugar to cereals." "Eat something if you choose to drink alcohol." "Use the same portion sizes to exchange carbohydrates." "Carbohydrates should comprise 55% of daily caloric intake." "Use hydrogenated oils for cooking."

"You can add table sugar to cereals." "Eat something if you choose to drink alcohol." "Use the same portion sizes to exchange carbohydrates." "Carbohydrates should comprise 55% of daily caloric intake."

A nurse is caring for a client who is about to begin insulin glargine therapy. The nurse should identify the need for additional precautions because the client also takes which of the following types of drugs? Oral contraceptives Calcium supplements Beta blockers Iron supplements

Beta blockers

A patent who is taking metformin (Glugophage) to treat type 2 diabetes mellitus plans to undergo angiography using iodine-containing contrast dye. The health care professional should recognize that an interaction between metformin and the IV contrast dye can increase the patients risk for which of the following: Hypokalemia Hyperglycemia Acute renal failure Acute pancreatitis

Acute renal failure

A nurse is taking with a client who has a new diagnosis of diabetes mellitus type 2 and their caregiver. Which of the following sweeteners should the nurse include as a zero-calorie sweetener option? Select all that apply. Xylitol Sucrose Aspartame Sucralose Mannitol

Aspartame Sucralose

A nurse is teaching a client who has a prescription for glipizide therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? Avoid drinking alcohol. Sit or stand for 30 min after taking the drug. Urinate every 4 hr. Take the drug 2 hr after a meal.

Avoid drinking alcohol

A health care professional should question the use of conjugated equine estrogen(Vagifem) by a patient who has a history of which of the following? Osteoporosis Peptic ulcer disease Rheumatoid arthritis Blood clots

Blood clots

A nurse is providing safety education to a client who is scheduled to begin treatment with tamsulosin for BPH. Which instruction should the nurse give to the client? Change positions slowly. Crush the medication. Take the medication on an empty stomach. Report increased urinary output immediately.

Change positions slowly

A nurse is caring for a client who is taking metformin to treat type 2 diabetes mellitus and reports muscle pain. Which of the following adverse reactions should the nurse suspect? Lactic acidosis Anticholinergic effects Extrapyramidal effects Hypophosphatemia

Lactic Acidosis

A nurse is assessing a client who has hypoglycemia. Which of the following findings should the nurse expect? Diaphoresis Fruity breath odor Polyuria Ketones in urine

Diaphoresis

A nurse is providing teaching to a client about sildenafil to treat erectile dysfunction. Which of the following instructions should the nurse include? Take the drug with a glass of grapefruit juice. Do not take the drug with high-fat foods Increase intake of foods rich in vitamin K. Avoid aged cheeses and red wine.

Do not take the drug with high-fat foods

A nurse is teaching a community program on nutritional guidelines for cancer prevention. Which of the following instructions should the nurse include? Select all that apply. Eat foods high in vitamin A. Add cruciferous vegetables. Increase intake of red meats. Consume refined grains. Use oil high in saturated fat.

Eat foods high in vitamin A Add cruciferous vegetables

A nurse is teaching a client about acarbose therapy to treat type 2 diabetes mellitus. Which of the following instructions should the nurse include? Eat more iron-rich foods. Avoid drinking grapefruit juice. Increase fiber intake. Avoid drinking green tea.

Eat more iron-rich foods

A health care professional is caring for a patient who has benign prostatic hypertrophy and is taking tamsulosin (Flomax). The health care professional should question the use of the following?A seizure disorder for which he takes carbamazepine Erectile dysfunction for which he takes sildenafil Diabetes mellitus for which he takes glyburide Angle-closure glaucoma for which he takes pilocarpine

Erectile dysfunction for which he takes sildenafil

A nurse is providing teaching to a client who is about to begin levothyroxine therapy to treat hypothyroidism. Which of the following instructions should the nurse include? Take levothyroxine with food to increase absorption. Take levothyroxine with an antacid to reduce gastrointestinal effects. Expect life-long therapy with the drug. Carry a carbohydrate snack at all times.

Expect life-long therapy with the drug.

A nurse is caring for a client who received human menopausal gonadotropin (hMG). Which of the following findings should the nurse expect? Prolactin secretion Estrogen release Follicular maturation Oxytocin secretion

Follicular maturation

Which of the following drugs should a nurse have available for a client who is experiencing insulin toxicity?Naloxone Diphenhydramine Acetylcysteine Glucagon

Glucagon

A nurse is teaching a client about conjugated estrogen and medroxyprogesterone. Which of the following instructions should the nurse include? Monitor for rectal bleeding. Avoid drinking alcoholic beverages.​ Have blood pressure checked regularly. Sit up for 30 min after taking the drug.

Have blood pressure checked regularly

After administering terbutaline (Brethine) to a patient to inhibit preterm labor, the health care professional should assess which of the following? Peripheral pulses Temperature Vision Heart rate

Heart Rate

When considering replacement therapy options for a client who has chronic adrenocortical insufficiency, a nurse should recognize that the provider will choose which of the following drugs? Somatropin Hydrocortisone Glucagon Desmopressin

Hydrocortisone

A nurse should question the use of ethinyl estradiol and drospirenone by a client who has renal disease sue to the increased risk of which of the following? Hyperkalemia Hyponatremia Hypoglycemia Respiratory alkalosis

Hyperkalemia

A nurse at a provider's office is assessing a client who has been taking hydrocortisone for adrenal insufficiency. The client reports fatigue and feeling overwhelmed by personal responsibilities. Which of the following findings should the nurse identify as an indication the provider might need to increase the client's dosage?Hypotension Hyperglycemia Weight gain Fat redistribution

Hypotension

A nurse is caring for a client who is taking propylthiouracil (PTU) and reports weight gain, drowsiness, and depression. The nurse should identify that the client is experiencing which of the following adverse reactions to the drug?Thyrotoxicosis Hypothyroidism Lactic acidosis Radiation sickness

Hypothyroidism

A nurse is teaching a client who is undergoing cancer treatment about interventions to manage stomatitis. Which of the following statements by the client indicates understanding of the teaching? I will consume more food in the morning. I will try chewing larger pieces of food. I will add more citrus foods to my diet. I will avoid toasting my bread.

I will avoid toasting my bread

A nurse is caring for a client who has diabetes mellitus and reports feeling shaky and weak. The client's blood glucose is 53 mg/dL. Which of the following actions should the nurse take? Provide subcutaneous insulin for the client. Offer the client 120 mL (4 oz) fruit juice. Give the client IV potassium. Administer IV sodium bicarbonate.

Offer the client 120 mL (4 oz) fruit juice

A health care professional is caring for a patient who is about to begin clomiphene(Clomid) therapy to treat infertility. The health care professional should monitor the patient for which of the following adverse effects?Breast cancer Deep-vein thrombosis Ovarian hyperstimulation syndrome Restless leg syndrome

Ovarian hyperstimulation syndrome

A nurse is speaking with a client who is taking glipizide to treat type 2 diabetes mellitus and has called to report feeling shaky, hungry, and fatigued. Which of the following actions should the nurse instruct the client to take? Drink 16 oz of water. Perform a fingerstick blood glucose check. Take another glipizide tablet. Lie down and rest.

Perform a fingerstick blood glucose check

When talking with a patient about using leuprolide (Lupron) to treat endometriosis, the health care professional should include which of the following instructions?Perform weight-bearing activities. Wear sunscreen or protective clothing. Take the drug with food to increase absorption. Avoid drinking grapefruit juice.

Perform weight-bearing activities

A nurse is assessing a client who has a new prescription for levothyroxine. The nurse should identify which of the following findings as a contraindication for this drug? Bacterial skin infections Diabetes insipidus Immunosuppression Recent myocardial infarction

Recent myocardial infarction

A nurse is caring for a client who has a new prescription for transdermal conjugated estrogen and medroxyprogesterone to treat postmenopausal symptoms. The nurse should explain to the client that this drug combination includes which of the following therapeutic effects?(select all that apply) Reduces the risk of ovarian cancer Relieves hot flashes Prevents osteoporosis Reduces the risk of breast cancer Reduces the risk of thromboembolism

Reduces the risk of ovarian cancer Relieves hot flashes Prevents osteoporosis

A nurse should recognize that a provider will prescribe a lower dose of sitagliptin for a client who has type 2 diabetes mellitus and who also has which of the following? Thyroid disease Bronchitis Heart failure Renal impairment

Renal Impairment

A nurse is collecting data from a client who has suspected HIV-associated muscle wasting. Which of the following findings supports this diagnosis? BMI 26 Fecal impaction Report of fever for thirty days. Report of high alcohol consumption.

Report of fever for 30 days.

A nurse is assessing a client who has a new prescription for the combination oral contraceptive ethinyl and drospirenone. Which of the following findings should the nurse identify as a contraindication to use of this medication? Drinks a glass of wine each night Smokes half a pack of cigarettes a day Runs marathons regularly Drives a school bus

Smokes half a pack of cigarettes a day

A nurse is caring for a client who is about to begin taking propylthiouracil (PTU) to treat hyperthyroidism. The nurse should instruct the client to report which of the following adverse effects?Select all that apply Sore throat Joint pain Insomnia Bradycardia Rash

Sore Throat Joint Pain Bradycardia Rash

A nurse is caring for a client who is taking desmopressin. The nurse should make which of the following assessments to evaluate the drug's effectiveness?Peripheral pulses Urine output Skin integrity Blood glucose

Urine output

A nurse is caring for a client who is taking combination oral contraceptive ethinyl estradiol and drospirenone and is about to begin taking rifampin to treat tuberculosis. Which of the following instructions should the nurse give the client due to a possible drug interaction? "Increase the rifampin dose." "Increase the oral contraceptive dose." "Wait 2 hours between taking each drug." "Use additional birth control methods."

Use additional birth control methods

A nurse is teaching a client who has cancer about ways to increase protein and calories in foods. Which of the following actions should the nurse include? Select all that apply. Use peanut butter as a spread on crackers. Add water in place of milk in soups. Top fruit with yogurt. Sprinkle cheese on a baked potato. Dip chicken in eggs before cooking.

Use peanut butter as a spread on crackers Top fruit with yogurt Sprinkle cheese on a baked potato Dip chicken in eggs before cooking

A nurse in an oncology clinic is caring for a client who is undergoing treatment for cancer and reports difficulty eating due to inability to taste food. Which of the following interventions should the nurse recommend? Eat foods that are warm. Increase foods high in pectin. Use plastic utensils to eat. Avoid citrus juices.

Use plastic utensils to eat

When talking with a patient who is receiving leuprolide(Lupron) to treat endometriosis, the health care professional should advise the patient to expect which of the following side effects? Vaginal dryness Hypertension Blurred vision Orthostatic hypotension

Vaginal Dryness

A nurse is caring for a client who has a new prescription for conjugated equine estrogen. The nurse should instruct the client to report which of the following indications of a serious adverse reaction? Hot flashes Urinary tract infection​ Vaginal bleeding Bone pain

Vaginal bleeding

A nurse is educating the parents of a child who has a new diagnosis of Prader-Willi syndrome (PWS) and has been prescribed somatropin. Which of the following statements by a parent indicates understanding of the teaching? "We will use a different spot for injection each time we give the medication." "We'll give the shot in the thigh muscle rather than fatty tissue to decrease injection pain." "We'll watch our child for signs of low blood sugar while using somatropin." "We should stop the medication if our child loses weight."

We will use a different spot for injection each time we give the medication

A nurse is preparing to administer finasteride to a client who has benign prostatic hypertrophy (BPH). Which of the following precautions should the nurse plan to take when administering this drug? Administer medication while client is sitting or reclining. Withhold the medication if the client doesn't eat. Wear gloves when handling the tablet. Monitor heart rate prior to administration.

Wear gloves when handling the tablet.